Nutrition Journal | |
Effects of indigestible carbohydrates in barley on glucose metabolism, appetite and voluntary food intake over 16 h in healthy adults | |
Inger M E Björck1  Elin M Östman1  Anne C Nilsson1  Elin V Johansson1  | |
[1] Division of Applied Nutrition and Food Chemistry, Department of Food Technology, Engineering and Nutrition, Lund University, P. O. Box 124, Lund SE-221 00, Sweden | |
关键词: Inflammation; Metabolic syndrome; Colonic fermentation; Appetite; Energy intake; GLP-1; Incretins; Glucose tolerance; Dietary fibre; Barley; | |
Others : 806969 DOI : 10.1186/1475-2891-12-46 |
|
received in 2012-10-22, accepted in 2013-03-26, 发布年份 2013 | |
【 摘 要 】
Background
Recent knowledge in animals suggests that gut microbial metabolism may affect host metabolism, including appetite regulating hormones. The aim of the present study was to evaluate the potential effects of a whole grain barley kernel product, rich in intrinsic indigestible carbohydrates (dietary fibre and resistant starch), on markers of metabolism and appetite regulation in healthy subjects.
Methods
Boiled barley kernels (BK) or white wheat bread (WWB; reference) were provided as late evening meals to 19 young adults in random order using a cross-over design. During subsequent ad libitum standardized breakfast and lunch meals (10.5-16 h), blood was collected for analysis of glucose, plasma insulin, adiponectin, ghrelin, glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1), serum free fatty acids (FFA) and interleukin (IL)-6. In addition, appetite sensations, voluntary energy intake and breath H2 were determined.
Results
BK as evening meal increased plasma GLP-1 at fasting (P < 0.05) and during the experimental day (P < 0.01) compared with WWB. In addition the BK evening meal decreased fasting serum FFA (P < 0.05) and tended to decrease fasting serum IL-6 (P = 0.06). At lunch, preceded by BK evening meal, voluntary energy intake was decreased (P < 0.05) when compared to WWB evening meal. The BK evening meal decreased incremental blood glucose area (P < 0.01), promoted higher breath H2 (P < 0.001), maintained adiponectin concentrations (P < 0.05) and reduced perceived hunger (P < 0.05) during 10.5-16 h after the meal.
Conclusions
The results indicate that the BK evening meal, facilitate glucose regulation, increase the release of GLP-1, reduce subsequent energy intake while at the same time decreasing hunger over 2 subsequent meals, and reduce fasting FFA the subsequent morning, possibly mediated through gut microbial fermentation of the indigestible carbohydrates.
【 授权许可】
2013 Johansson et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20140708102034445.pdf | 786KB | download | |
Figure 6. | 100KB | Image | download |
Figure 5. | 59KB | Image | download |
Figure 4. | 37KB | Image | download |
Figure 3. | 39KB | Image | download |
Figure 2. | 81KB | Image | download |
Figure 1. | 44KB | Image | download |
【 图 表 】
Figure 1.
Figure 2.
Figure 3.
Figure 4.
Figure 5.
Figure 6.
【 参考文献 】
- [1]Alberti KGMM, Zimmet P, Shaw J: Metabolic syndrome—a new world-wide definition. A Consensus Statement from the International Diabetes Federation. Diabet Med 2006, 23:469-480.
- [2]Diabetes Fact sheet N°312. [http://www.who.int/mediacentre/factsheets/fs312/en/index.html webcite]
- [3]O'Neil CE, Zanovec M, Cho SS, Nicklas TA: Whole grain and fiber consumption are associated with lower body weight measures in US adults: National Health and Nutrition Examination Survey 1999–2004. Nutr Res 2010, 30:815-822.
- [4]Good CK, Holschuh N, Albertson AM, Eldridge AL: Whole Grain Consumption and Body Mass Index in Adult Women: An Analysis of NHANES 1999–2000 and the USDA Pyramid Servings Database. J Am Coll Nutr 2008, 27:80-87.
- [5]Harland JI, Garton LE: Whole-grain intake as a marker of healthy body weight and adiposity. Public Health Nutr 2008, 11:554-563.
- [6]McKeown NM, Meigs JB, Liu S, Wilson PW, Jacques PF: Whole-grain intake is favorably associated with metabolic risk factors for type 2 diabetes and cardiovascular disease in the Framingham Offspring Study. Am J Clin Nutr 2002, 76:390-398.
- [7]Schulze MB, Schulz M, Heidemann C, Schienkiewitz A, Hoffmann K, Boeing H: Fiber and Magnesium Intake and Incidence of Type 2 Diabetes: A Prospective Study and Meta-analysis. Arch Intern Med 2007, 167:956-965.
- [8]Park Y, Subar AF, Hollenbeck A, Schatzkin A: Dietary Fiber Intake and Mortality in the NIH-AARP Diet and Health Study. Arch Intern Med 2011, 171:1061-1068.
- [9]Gemen R, de Vries JF, Slavin JL: Relationship between molecular structure of cereal dietary fiber and health effects: focus on glucose/insulin response and gut health. Nutr Rev 2011, 69:22-33.
- [10]Slavin J: Whole grains and human health. Nutr Res Rev 2004, 17:99-110.
- [11]Björck IME, Granfeldt YE, Liljeberg HGM, Tovar J, Asp N-G: Food properties affecting the digestion and absorption of carbohydrates. Am J Clin Nutr 1994, 59(suppl):699S-705S.
- [12]Björck I, Östman E, Kristensen M, Mateo Anson N, Price RK, Haenen GRMM, Havenaar R, Bach Knudsen KE, Frid A, Mykkänen H, et al.: Cereal grains for nutrition and health benefits: Overview of results from in vitro, animal and human studies in the HEALTHGRAIN project. Trends in Food Science & Technology 2012, 25:87-100.
- [13]Ley RE, Hamady M, Lozupone C, Turnbaugh PJ, Ramey RR, Bircher JS, Schlegel ML, Tucker TA, Schrenzel MD, Knight R, Gordon JI: Evolution of Mammals and Their Gut Microbes. Science 2008, 320:1647-1651.
- [14]Flint HJ: The impact of nutrition on the human microbiome. Nutr Rev 2012, 70:S10-S13.
- [15]Round JL, Mazmanian SK: The gut microbiota shapes intestinal immune responses during health and disease. Nat Rev Immunol 2009, 9:313-323.
- [16]Vijay-Kumar M, Aitken JD, Carvalho FA, Cullender TC, Mwangi S, Srinivasan S, Sitaraman SV, Knight R, Ley RE, Gewirtz AT: Metabolic Syndrome and Altered Gut Microbiota in Mice Lacking Toll-Like Receptor 5. Science 2010, 328:228-231.
- [17]Harte AL, Varma MC, Tripathi G, McGee KC, Al-Daghri NM, Al-Attas OS, Sabico S, O’Hare JP, Ceriello A, Saravanan P, et al.: High Fat Intake Leads to Acute Postprandial Exposure to Circulating Endotoxin in Type 2 Diabetic Subjects. Diabetes Care 2012, 35:375-382.
- [18]Erridge C, Attina T, Spickett CM, Webb DJ: A high-fat meal induces low-grade endotoxemia: evidence of a novel mechanism of postprandial inflammation. Am J Clin Nutr 2007, 86:1286-1292.
- [19]Cani PD, Possemiers S, Van de Wiele T, Guiot Y, Everard A, Rottier O, Geurts L, Naslain D, Neyrinck A, Lambert DM, et al.: Changes in gut microbiota control inflammation in obese mice through a mechanism involving GLP-2-driven improvement of gut permeability. Gut 2009, 58:1091-1103.
- [20]Everard A, Lazarevic V, Derrien M, Girard M, Muccioli GG, Neyrinck AM, Possemiers S, Van Holle A, François P, de Vos WM, et al.: Responses of Gut Microbiota and Glucose and Lipid Metabolism to Prebiotics in Genetic Obese and Diet-Induced Leptin-Resistant Mice. Diabetes 2011, 60:2775-2786.
- [21]Cani P, Neyrinck A, Fava F, Knauf C, Burcelin R, Tuohy K, Gibson G, Delzenne N: Selective increases of bifidobacteria in gut microflora improve high-fat-diet-induced diabetes in mice through a mechanism associated with endotoxaemia. Diabetologia 2007, 50:2374-2383.
- [22]Lutsey PL, Jacobs DR, Kori S, Mayer-Davis E, Shea S, Steffen LM, Szklo M, Tracy R: Whole grain intake and its cross-sectional association with obesity, insulin resistance, inflammation, diabetes and subclinical CVD: The MESA Study. Br J Nutr 2007, 98:397-405.
- [23]Nilsson AC, Ostman EM, Holst JJ, Bjorck IM: Including indigestible carbohydrates in the evening meal of healthy subjects improves glucose tolerance, lowers inflammatory markers, and increases satiety after a subsequent standardized breakfast. J Nutr 2008, 138:732-739.
- [24]Thorburn A, Muir J, Proietto J: Carbohydrate fermentation decreases hepatic glucose output in healthy subjects. Metabolism 1993, 42:780-785.
- [25]Nilsson AC, Ostman EM, Granfeldt Y, Bjorck IM: Effect of cereal test breakfasts differing in glycemic index and content of indigestible carbohydrates on daylong glucose tolerance in healthy subjects. Am J Clin Nutr 2008, 87:645-654.
- [26]Nilsson A, Ostman E, Preston T, Bjorck I: Effects of GI vs content of cereal fibre of the evening meal on glucose tolerance at a subsequent standardized breakfast. Eur J Clin Nutr 2008, 62:712-720.
- [27]Torekov SS, Madsbad S, Holst JJ: Obesity - an indication for GLP-1 treatment? Obesity pathophysiology and GLP-1 treatment potential. Obes Rev 2011, 12:593-601.
- [28]Cani PD, Lecourt E, Dewulf EM, Sohet FM, Pachikian BD, Naslain D, De Backer F, Neyrinck AM, Delzenne NM: Gut microbiota fermentation of prebiotics increases satietogenic and incretin gut peptide production with consequences for appetite sensation and glucose response after a meal. Am J Clin Nutr 2009, 90:1236-1243.
- [29]Aaboe K, Krarup T, Madsbad S, Holst JJ: GLP-1: physiological effects and potential therapeutic applications. Diabetes, Obesity and Metabolism 2008, 10:994-1003.
- [30]Björck IME, Siljeström MA: In-vivo and in-vitro digestability of starch in autoclaved pea and potatoe products. J Sci Food Agric 1992, 58:541-553.
- [31]Holm J, Björck IME, Drews A, Asp N-G: A rapid method for the analysis of starch. Starch/Stärke 1986, 38:224-226.
- [32]Åkerberg AK, Liljeberg HG, Granfeldt YE, Drews AW, Björck IM: An in vitro method, based on chewing, to predict resistant starch content in foods allows parallel determination of potentially available starch and dietary fiber. J Nutr 1998, 128:651-660.
- [33]Asp N-G, Johansson C-G, Hallmer H, Siljeström M: Rapid enzymatic assay of insoluble and soluble dietary fiber. J Agric Food Chem 1983, 31:476-482.
- [34]Rosén LAH, Östman EM, Björck IME: Postprandial Glycemia, Insulinemia, and Satiety Responses in Healthy Subjects after Whole Grain Rye Bread Made from Different Rye Varieties. 2. J Agric Food Chem 2011, 59:12149-12154.
- [35]Wolever TMS, Jenkins DJA, Ocana AM, Rao VA, Collier GR: Second-meal effect: low-glycemic-index foods eaten at dinner improve subsequent breakfast glycemic response. Am J Clin Nutr 1988, 48:1041-1047.
- [36]Priebe MG, Wang H, Weening D, Schepers M, Preston T, Vonk RJ: Factors related to colonic fermentation of nondigestible carbohydrates of a previous evening meal increase tissue glucose uptake and moderate glucose-associated inflammation. Am J Clin Nutr 2010, 91:90-97.
- [37]Cani PD, Hoste S, Guiot Y, Delzenne NM: Dietary non-digestible carbohydrates promote L-cell differentiation in the proximal colon of rats. Br J Nutr 2007, 98:32-37.
- [38]Tolhurst G, Heffron H, Lam YS, Parker HE, Habib AM, Diakogiannaki E, Cameron J, Grosse J, Reimann F, Gribble FM: Short-chain fatty acids stimulate glucagon-like peptide-1 secretion via the G-protein-coupled receptor FFAR2. Diabetes 2012, 61:364-371.
- [39]Flint A, Raben A, Astrup A, Holst JJ: Glucagon-like Peptide 1 Promotes Satiety and Suppresses Energy Intake in Humans. J Clin Invest 1998, 101:515-520.
- [40]Verdich C, Flint A, Gutzwiller J-P, Naslund E, Beglinger C, Hellstrom PM, Long SJ, Morgan LM, Holst JJ, Astrup A: A Meta-Analysis of the Effect of Glucagon-Like Peptide-1 (7–36) Amide on Ad Libitum Energy Intake in Humans. J Clin Endocrinol Metab 2001, 86:4382-4389.
- [41]Wren AM, Seal LJ, Cohen MA, Brynes AE, Frost GS, Murphy KG, Dhillo WS, Ghatei MA, Bloom SR: Ghrelin enhances appetite and increases food intake in humans. J Clin Endocrinol Metab 2001, 86:5992.
- [42]Tarini J, Wolever TMS: The fermentable fibre inulin increases postprandial serum short-chain fatty acids and reduces free-fatty acids and ghrelin in healthy subjects. Applied Physiology, Nutrition & Metabolism 2010, 35:9-16.
- [43]Holst JJ, Deacon CF, Vilsboll T, Krarup T, Madsbad S: Glucagon-like peptide-1, glucose homeostasis and diabetes. Trends Mol Med 2008, 14:161-168.
- [44]Asmar M: New physiological effects of the incretin hormones GLP-1 and GIP. Dan Med Bull 2011, 58:B4248.
- [45]Zander M, Madsbad S, Madsen JL, Holst JJ: Effect of 6-week course of glucagon-like peptide 1 on glycaemic control, insulin sensitivity, and beta-cell function in type 2 diabetes: a parallel-group study. Lancet 2002, 359:824-830.
- [46]Robertson MD: Metabolic cross talk between the colon and the periphery: implications for insulin sensitivity. Proc Nutr Soc 2007, 66:351-361.
- [47]Belfort R, Mandarino L, Kashyap S, Wirfel K, Pratipanawatr T, Berria R, DeFronzo RA, Cusi K: Dose–response Effect of Elevated Plasma Free Fatty Acid on Insulin Signaling. Diabetes 2005, 54:1640-1648.
- [48]Wellen KE, Hotamisligil GS: Inflammation, stress, and diabetes. J Clin Invest 2005, 115:1111-1119.
- [49]Yannakoulia M, Yiannakouris N, Melistas L, Kontogianni MD, Malagaris I, Mantzoros CS: A dietary pattern characterized by high consumption of whole-grain cereals and low-fat dairy products and low consumption of refined cereals is positively associated with plasma adiponectin levels in healthy women. Metabolism 2008, 57:824-830.
- [50]Vaiopoulos AG, Marinou K, Christodoulides C, Koutsilieris M: The role of adiponectin in human vascular physiology. Int J Cardiol 2012, 155:188-193.
- [51]Weyer C, Funahashi T, Tanaka S, Hotta K, Matsuzawa Y, Pratley RE, Tataranni PA: Hypoadiponectinemia in Obesity and Type 2 Diabetes: Close Association with Insulin Resistance and Hyperinsulinemia. J Clin Endocrinol Metab 2001, 86:1930-1935.
- [52]Lihn AS, Pedersen SB, Richelsen B: Adiponectin: action, regulation and association to insulin sensitivity. Obesity Reviews 2005, 6:13-21.
- [53]Carlson J, Turpin A, Wiebke G, Hunt S, Adams T: Pre- and post- prandial appetite hormone levels in normal weight and severely obese women. Nutr Metab 2009, 6:32. BioMed Central Full Text
- [54]English PJ, Coughlin SR, Hayden K, Malik IA, Wilding JPH: Plasma Adiponectin Increases Postprandially in Obese, but not in Lean, Subjects. Obesity 2003, 11:839-844.